Eczema services

Migraines services offered in Gaithersburg, Germantown, Rockville, Columbia and Bowie, MD
When a crippling migraine strikes, you need help as soon as possible. Dr. Rakesh Malik and the team of compassionate physician assistants at Doctors First offer complete primary and urgent care for headache sufferers in Rockville, Gaithersburg, Germantown, and Bowie, Maryland. To get on the road to relief from your chronic migraines, call Doctors First or book an appointment online.
What is a migraine?

A migraine is a severe headache that causes crushing pain that affects your every move. When you have a migraine headache, it’s almost impossible to be productive at work or keep up with your daily routine. Migraines are often called “sick headaches” because they can cause nausea, vomiting, and a feeling of overall illness. They can come on suddenly but may last as long as three or four days. An exact cause isn’t known, but migraines are frequently triggered by:

  • Stress
  • Alcohol
  • Allergies
  • Hormonal fluctuations
  • Sleep deprivation
  • Strong fragrances
  • Food additives
How do I know if I have a migraine?

Migraines are in their own category because they don’t feel like any other kind of headache. A migraine can resolve in a few hours, or it may last several days. There are four distinct phases that you may move through as you endure a migraine headache:
A couple of days before the migraine, there may be signs that an attack is coming. Some things you may experience in prodrome are constipation, stiff neck, intense food cravings, or diarrhea.
The aura phase includes dizziness, blurry vision, problems with fine motor skills, slurred speech, and weak muscles.
The headache phase is often so severe it is incapacitating. When you’re at this stage, you may experience a pounding one-sided headache, sensitivity to noise and lights, and eye or sinus pain.
When the migraine subsides, you’ll feel fatigued and drained. You may not be able to concentrate for a few hours, and holding a conversation may be difficult.

How are migraines treated?
The caring team at First Medical Associates works diligently to diagnose, treat, and stop your migraines in their tracks. Dr. Malik or one of the expert physician assistants will customize your treatment based on your specific symptoms.
They might prescribe one or a combination of effective pharmaceuticals, such as NSAIDs, prescription-strength ibuprofen, anti-nausea medicines, triptans, ergots, opioids, and glucocorticoids. Medications for migraines are either preventive or pain relieving.
First Medical Associates provides urgent care for sudden migraines and primary care for preventive treatment of recurring headaches. If they can’t diagnose or adequately treat your migraine, they’ll even bring in a specialist to help.
How is eczema treated?

Dr. Malik or one of the physician assistants at Doctors First puts together a plan to treat you based on the type of eczema you have, the underlying condition, and your medical history. Depending on how severe and recurrent your eczema is, your provider may recommend one or a combination of the following effective treatments:

  • Topical medical-grade moisturizing creams
  • Anti-inflammatory medications and injectables
  • Oral histamines
  • Ultraviolet light therapy
  • Corticosteroids

Some popular at-home remedies that can give you much-needed relief include:

  • Switching to all-natural beauty and personal care products
  • Taking moderate-temperature showers or baths
  • Keeping your skin moist with creams and lotions
  • Steering clear of artificial fragrances and perfumes
  • Taking baths with Epsom salts

When eczema flares repeatedly inconvenience your daily activities and slow you down, call Doctors First for an appointment or use the scheduler below to book online.

Psychiatric Insurances


Accepted Insurances

  • Aetna
  • Blue Choice
  • Blue Cross Blue Shield
  • CareFirst
  • Humana
  • Johns Hopkins Health
  • Maryland Medicaid (Wellpoint/Amerigroup Carefirst Community Plan, Aetna Medicaid, United Health Medicaid, Priority Partner-Johns Hopkins, Amerigroup and straight Medicaid)
  • Medicare (Including Medicare Advantage Plans with United Health Care, Carefirst, John Hopkins, Aetna) All Secondary Insurances accepted
  • Cigna
  • UHC

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